Dear Concern all, First of all, I apologise that I am not a doctor yet took the courage to raise some points in this forum. I do regularly keep an eye on the issues discussed in this forum. One thing I am wondering about is the prevention of childhood disability, especially from Rickets.
Around the world, nutritional rickets are still a common disease. In some parts of Bangladesh, calcium shortage has however become a prominent cause of rickets. At the same time, rickets are caused by vitamin D insufficiency in areas where latitude is linked to relatively limited sun exposure or where cultural customs forbid sun exposure. After the first year of life, rickets, a disorder brought on by calcium deficiency, frequently show itself as leg deformities, enlarged wrists, and protruding ribs. Rickets raises the risk of developing pneumonia. The diagnosis is clinically inferred and may be confirmed by blood alkaline phosphatase elevation, radiographic evidence of dilated, depressed, and irregular epiphyses, or both Worldwide, nutritional rickets are still a common condition. In some parts of Bangladesh, calcium shortage has however become a prominent cause of rickets. Whereas rickets are brought on by vitamin D deficiency in areas where latitude is when tests for the 25-hydroxy and 1.25-dihydroxy forms of vitamin D are available, they can help distinguish between various dietary causes of rickets. Programs for prevention are required, but treatment is effective in replacing the nutrients that are missing in sufficient levels.
Here are some question that arises in my mind why has This disease was not seen in 60 years what changed within these 5 decades, The Second question is almost zero among the indigenous people means tribal groups. The food production system and their food behaviour and lifestyle are different from the plain land people. These are normal observations. Thinking is there any correlation between climate change and this new disease that turns a child's life into disability? So felt to raise this in this big platform to think about what for this is?
Further research and action are needed to: (a) determine the best method for precisely identifying rickets and its cause in areas without extensive laboratories and radiological facilities; (b) establish the best calcium treatment dose and duration; (c) establish the appropriate indications and timing of surgeries; (d) establish the value of bracing for kids with medically treated rickets; (e) establish effective rickets prevention strategies; and (f) test strategies for prenatal diagnosis.
As the prevalence rate has decreased from the baseline through the efforts of various projects, particularly BPRM (Rickets Identification and Management and Nutritional Intervention), there is still room for further rickets-specific treatment initiatives that could play a significant role in the next decline in the prevalence rate.
Shahidul Haque (Ashoka Fellow)
Founder & Chief Executive Officer
SARPV
Address: House No: 274/4, 3rd Floor.
South Monipur, (60 Feet Road).
Mirpur. Dhaka-1216
Telephone no: +88-02-226622022, 02-226622023 and 02-226622024
Email: shahidul@sarpv.org shahidul.sarpv@gmail.com, shahidul@sarpv.org.bd
Web :// www.sarpv.org
"Please do not treat the human being with their impairment treat with their ability"
HIFA profile: Md. Shahidul Haque is Chief Executive of Social Assistance and Rehabilitation for the Physically Vulnerable (SARPV) in Bangladesh. Professional interests: As we are working since 1992 to reduce childhood disability at an early stage and in some cases trying to prevent children with disabilities from Nutritional Rickets Disease. Email address: Shahidul.sarpv AT gmail.com
